BEUDAMED
    FDA Adverse Event Other Summary report: N

    LUMEX

    MDR report key: 67487 · Received February 4, 1997

    Report

    Report Number
    67487
    Event Type
    Other
    Date Received
    February 4, 1997
    Date of Event
    January 15, 1997
    Report Date
    January 15, 1997
    Manufacturer
    LUMEX
    Product Code
    INN
    Report Source
    User Facility report
    Reporter Location
    OK, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SHOWER CHAIR PVC PIPE CRACKED AT RIGHT ARM REST AT JOINT. FRONT CONNECTING PIPE AT BOTTOM CAME APART. POTTY SEAT FELL OFF. PT FELL TO FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LUMEX SHOWER CHAIR INN LUMEX 7911 CHAIR UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other